Organization · Type 2 NPI
The Phoenix Recovery Center LLC
Substance Use Disorder Rehabilitation Clinic/Center · South Jordan, UT
NPI number
1992125553
Active
Practice location
489 W. South Jordan Parkway, Ste 400
South Jordan, UT 84095
Fax (801) 438-3184
Mailing address
9980 S 300 W Ste 105
Sandy, UT 84070-3641
Other practice locations
- 11762 S State St, Suite 360, Draper, UT 84020-7155 · (801) 571-6798
- 9980 S 300 W Ste 105, Sandy, UT 84070-3641 · (801) 438-3185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 5549 (UT) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5549 (UT) |
| Mental Health Counselor | 101YM0800X | 5549 (UT) |
| Professional Counselor | 101YP2500X | 5549 (UT) |
| Behavior Analyst | 103K00000X | 5549 (UT) |
| Adult Mental Health Clinic/Center | 261QM0850X | 5549 (UT) |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 5549 (UT) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1992125553
The Phoenix Recovery Center LLC's National Provider Identifier is 1992125553, issued on Apr 22, 2014. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in South Jordan, UT. The record was last updated on Apr 5, 2021.